Wei-Lin Xie, Zhi-Hui Lan, Yan-Feng Lin, Guo-Hong Xu, Yun-Hu Chen, Jia-Hui Tan
Qingcheng District Center for Disease Control and Prevention, Guangdong Province, Qingyuan 511500, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Oct 19;29(6):743-745. doi: 10.16250/j.32.1374.2017115.
To understand the characteristics of imported malaria cases in Qingcheng District, Qingyuan City and explore the strategies and priorities in prevention and control, so as to provide the evidence for improving the diagnosis, treatment and management of imported malaria.
The data of imported malaria as well as the case epidemiological investigations were collected and retrospectively analyzed for the species composition, original countries, population distribution, regional distribution, onset situation, diagnosis, treatment, etc. in Qingcheng District from 2011 to 2016.
The number of imported malaria cases was 13 from 2011 to 2016. All the patients were confirmed by laboratory, and of which, 9 patients infected with , 1 with , 1 with and 2 with mixed infections (). The yearly incidence of imported malaria presented an uptrend. The infection sources of all the patients were from African countries, and the exported labor workers and travelers for business from malaria endemic areas were the high risk population. The reported time was mainly January, February, November and December (11/13, 84.62%). All the patients were male, and the majority of them (12/13, 2.31%) were 21-60 years old. The median time from onset to seeing a doctor was 2.5 days and the median time from seeing a doctor to being diagnosed was 1.9 day. Six patients (46.15%) were diagnosed as other diseases at the first visit to a doctor, and one patient died of falciparum malaria because of delayed diagnosis.
The incidence of overseas imported malaria presents an uptrend in Qingcheng District. It is necessary to further strengthen the professional training in medical staff to improve the diagnosis and treatment of malaria cases. It is also necessary to strengthen the multisectoral cooperation, establish the surveillance in the high risk population, etc.
了解清远市清城区输入性疟疾病例特征，探索防控策略与重点，为提高输入性疟疾的诊断、治疗及管理水平提供依据。
收集清城区2011 - 2016年输入性疟疾病例资料及病例流行病学调查情况，对疟原虫种类构成、原发病国家、人群分布、地区分布、发病情况、诊断、治疗等进行回顾性分析。
2011 - 2016年共报告输入性疟疾病例13例，均经实验室确诊。其中，感染 9例，感染 1例，感染 1例，混合感染（ ）2例。输入性疟疾年发病率呈上升趋势。所有病例感染源均来自非洲国家，疟疾流行区出境劳务人员及商务旅行者为高危人群。报告时间主要集中在1月、2月、11月和12月（11/13，84.62%）。病例均为男性，年龄主要集中在21 - 60岁（12/13，92.31%）。发病至就诊中位时间为2.5天，就诊至确诊中位时间为1.9天。6例患者（46.15%）首诊被误诊为其他疾病，1例患者因诊断延误死于恶性疟。
清城区境外输入性疟疾发病率呈上升趋势，需进一步加强医务人员专业培训，提高疟疾诊治水平，同时加强多部门合作，建立高危人群监测等。
